Employment Application; Benton County Mosquito Control District

Employment Application /

Benton County Mosquito Control District
Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Benton County Mosquito Control District (BCMC also known as the District).

Please note: You must be at least 18 years of age at time of employment.
Date of Application

MonthDayYear
mm-dd-yyyy
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Primary Contact Number*
If your Primary Contact Number is cellular, please list the carrier. (We ask for your cell phone carrier so we can send texts from a computer.)
Cell Phone Carrier
If necessary, what is the best time to call and/or text you?
Time; please list AM or PM
How did you hear about us?

Friend/Colleague/Word of MouthFacebook/Meta AdInstagramInternet/OnlineNewspaperPosting on Bulletin BoardRadio AdOther
Please mark any/all positions you are applying for.*

Control Operator - Field (Pay Range: $20.25 to $25.25)Field Inspector (Pay Range: $22.50 to $27.50)Surveillance Technician (Pay Range: $20.25 to $25.25)UAS (Unmanned Aerial System) Operator (Pay Range: $22.50 to $27.50)Education Specialist (Pay Range: $22.50 to $27.50)Administrative Assistant (Pay Range: $20.25 to $25.25)Other
You may reference the Job Descriptions on our website, or by requesting a Job Description from Benton County Mosquito Control District.

Mosquito Control
Are you legally eligible for employment in this country?*

YesNo
Start Date; Availability

MonthDayYear
mm-dd-yyyy
Estimated End Date

MonthDayYear
mm-dd-yyyy
Standard workday and workweek information:
- You are nor required, nor expected, to work the entire season. We ask for start and end dates so we can adjust our workforce if needed.
- BCMC changes its daily start and finish times as the season progresses to try and limit the time spent out in the heat of the day. Start times may be 8:00 AM, 7:00 AM, or 6:00 AM, depending upon position and time of year. You will be notified in advance of what schedule you will have and of any changes to that work schedule.
- Standard works days are 8 hours with a 30 minute lunch break daily.
- The standard workweek is Monday through Friday, but overtime (evening and/or weekend) may be required.
- The season can run from March to October; it is highly dependent upon weather and mosquito activity.
- Extended periods of absence must be approved, in advance, by your Supervisor or a management position.
Are you able to meet the attendance requirements?*

YesNoI need more information
If you marked "I need more information" for the question above, please list what information you need or what information you believe we should know.
The following question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?*

YesNoI need more information
If you selected "I need more information" from above, please indicate in the box below what additional information you require.
Driver's License: A current and valid driver's license is a requirement for consideration of employment.

Driver's Abstract: Applicants are not required to submit a Driver's Abstract, but if an offer of employment is made by the District, then review of an employee's driving record for a 3-year period will be a condition of employment. The signing of a waiver, allowing the District to obtain a driving record from the Washington State Department of Licensing (or State agency that issued applicant's license), will be required. The contents of the Driver's Abstract may determine if you are eligible for employment at the District. The District will pay the cost of attaining the Driver's Abstract and will only use it for the purpose of determining if employment will be granted.
By typing my initials in this box, I acknowledge that should I be offered a position with Benton County Mosquito Control, I will need to sign a waiver granting permission for a representative of the District to attain a driver's abstract and that this abstract may affect my consideration for employment.
Initials
Answering “Yes” to the following question does not constitute an automatic bar to employment.
Have you entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict your ability to work for BCMC?

YesNo
If you answered "Yes" above, please explain.
Resume (optional)
You may attach a resume if you like, but it is not required. Please note that the attachment of a resume does NOT take the place of filling out the information found in this online form. Thank you.
Optional: Resume Upload

A resume is not required
Cancelof
Skills and Qualification
Summarize any special training, skills, licenses, and/or certifications that may assist you in performing the position for which you are applying.
Computer Skills: check all appropriate items.

Word Processing (e.g. Microsoft Word)Spreadsheet (e.g. Microsoft Excel)Database (e.g. Microsoft Access)EmailTabletsSocial MediaOther
In the following questions please exclude information that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve National Guard or any other similarly protected status.
Is there any other job-related information you would like us to consider, special accomplishments, awards, publications, etc.?
Employment History
1. Please provide your two most recent jobs. If you have only one or zero to list that is fine, but please note this at the end of the Employment History section.
2. You may submit a resume along with the online employement application, but it will not be counted as a substitute for the online application.
3. At the end of the Employment History section you will have a the option (neither required, nor expected) to add in any additional job history information that you believe is of value.
Employer
Employment Start Date

MonthDayYear
mm-dd-yyyy
Employment End Date

MonthDayYear
mm-dd-yyyy
Employer Website or Contact Information
Immediate Supervisor's Name and Title
May we contact this employer?

YesNoOther
Your Job Title
Reason For Leaving
Describe Job Duties
What did you enjoy the most about the job?
What did you enjoy the least about the job?
Employer
Employment Start Date

MonthDayYear
mm-dd-yyyy
Employment End Date

MonthDayYear
mm-dd-yyyy
Employer Website or Contact Information
Immediate Supervisor's Name and Title
May we contact this employer?

YesNoOther
Your Job Title
Reason For Leaving
Describe Job Duties
What did you enjoy the most about the job?
What did you enjoy the least about the job?
End of Employment History. Is there any additional employment information you would like us to know? (Optional)
Educational Background
Starting with your most recent school attended, provide the following information for up to two schools.
School
Date of Completion

MonthDayYear
mm-dd-yyyy
School Website or Contact Information
Completed

GEDHigh School Diploma2-Year Degree4-Year DegreePost-Graduate DegreeCertificationOther
School
Date of Completion

MonthDayYear
mm-dd-yyyy
School Website or Contact Information
Completed

GEDHigh School Diploma2-Year Degree4-Year DegreePost-Graduate DegreeCertificationOther
References
List names and phone numbers of two references that are not related to you and are not previous supervisors. We prefer work related references but this is not a requirement.
Reference's Name

First NameLast Name
Title (if applicable)
Relationship To You
Reference's Phone Number
Years Known
Reference's Name

First NameLast Name
Title (if applicable)
Relationship To You
Reference's Phone Number
Years Known
Applicant Statement
I certify that all information I have provided in order to apply for and secure work for the Benton County Mosquito Control District (BCMC) is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its representatives, employees or agents, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that BCMC does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

This application will stay active for the current calendar year. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of BCMC is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the District Manager.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that the federal immigration laws require me to complete an I-9 Form in this regard.

BCMC does not tolerate unlawful discrimination in it employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment for any protected status under applicable federal, state, or local law. BCMC likewise does not tolerate harassment. Harassment of employees is strictly prohibited. BCMC takes all complaints of harassment seriously and complaints will be investigated.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient in cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer’s service, regardless of when the information is discovered.
I certify that I have read, fully understand, and accept all terms of the foregoing Applicant Statement.*
Type your initials here
DO NOT SIGN UNTIL YOU HAVE FILLED OUT THIS APPLICATION

AND READ THE ABOVE APPLICANT STATEMENT
Signature*

Clear
Date of Signature

MonthDayYear
mm-dd-yyyy
Enter the message as it's shown*
Should be Empty:

Resume (optional)

Skills and Qualification

Employment History

Educational Background

References

Applicant Statement